1.Easy
Which precautions are used for a patient with mumps?
- AContact precautions only
- BAirborne precautions
- CStandard precautions only
- DDroplet precautions
2.Easy
Which three principles reduce staff exposure to radiation?
- AHand hygiene, masks and ventilation
- BSpeed, height and color
- CTime, distance and shielding
- DGloves, gowns and goggles
3.Easy
Malaria is passed to people through the bite of an infected mosquito. Which mode of transmission is this?
- AVector-borne transmission
- BDirect contact transmission
- CDroplet transmission
- DAirborne transmission
4.Medium
A portable x-ray is taken at the bedside. Which action protects the nurse?
- ALook directly at the x-ray tube during the exposure to check its position
- BStand next to the patient and hold the film without protection
- CStep away from the patient or wear a lead apron during the exposure
- DStay close to the patient to keep them still without protection
5.Medium
Sputum specimens are ordered to look for acid-fast bacilli (TB). How are they usually collected?
- AThree deep-cough specimens collected 8 to 24 hours apart, at least one early in the morning
- BOne specimen of sputum collected straight after the evening meal, when coughing is easiest
- CThree specimens collected after an antiseptic mouthwash
- DOne saliva sample collected at any convenient time of day
6.Medium
An order reads “Give potassium chloride by IV push.” What should the nurse do?
- AGive half by IV push and the rest later
- BGive it slowly by IV push over two minutes while watching the cardiac monitor
- CNot give it, and contact the prescriber, because it is never given by IV push
- DDilute it in a small syringe and push it
7.Hard
On admission, the medication list from home includes a blood thinner that is not on the new hospital orders. What should the nurse do?
- AGive the home dose without an order
- BClarify the discrepancy with the prescriber
- CTell the patient to take their own supply secretly
- DIgnore it, as the hospital orders replace home medicines
8.Hard
A nurse working with a patient on contact precautions realizes the gown has a tear at the sleeve. What should the nurse do?
- ACover the tear with a strip of tape and carry on
- BPut a second gown on top of the torn one
- CContinue working, since the tear is small and only on the sleeve
- DMove away from the patient, remove the PPE safely at the doorway, clean hands and re-gown
Answer key
- 1. D · Droplet precautions
- 2. C · Time, distance and shielding
- 3. A · Vector-borne transmission
- 4. C · Step away from the patient or wear a lead apron during the exposure
- 5. A · Three deep-cough specimens collected 8 to 24 hours apart, at least one early in the morning
- 6. C · Not give it, and contact the prescriber, because it is never given by IV push
- 7. B · Clarify the discrepancy with the prescriber
- 8. D · Move away from the patient, remove the PPE safely at the doorway, clean hands and re-gown
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